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General NPI Number Information
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NPI Number | 1538177423
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Entity Type | Organization
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Legal Business Name | CHRISTIAN HOSPITAL NORTHEAST NORTHWEST
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 11133 DUNN RD
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6119
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Country | US
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Telephone | 314-653-5000
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Fax | 314-653-4153
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Provider Business Mailing Address
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Address Line | 11133 DUNN RD
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6119
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Country | US
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Telephone | 314-653-5000
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Fax | 314-653-4153
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Authorized Official
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Title or Position | VICE PRESIDENT FINANCE
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Name | MRS. SUSAN C KOESTERER
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Credential |
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Telephone | 314-653-5715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 425-9
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License Number State | MO
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